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Individual

EDMUNDO CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
11034 W FLAGLER ST, MIAMI, FL 33174-1222
(786) 744-1321
Mailing address
1627 NW 3RD ST APT 4, MIAMI, FL 33125-4631
(305) 316-8506

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW8865
FL
1041C0700X
Clinical Social Worker
Primary
SW8865
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016154100
FL
05
116883200
FL
Enumeration date
09/27/2006
Last updated
08/01/2023
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